Provider Demographics
NPI:1295771145
Name:ELITE RESPIRATORY SERVICES & DME, INC
Entity type:Organization
Organization Name:ELITE RESPIRATORY SERVICES & DME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPOTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-777-2929
Mailing Address - Street 1:22410 HARPER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1820
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22410 HARPER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1820
Practice Address - Country:US
Practice Address - Phone:586-777-2929
Practice Address - Fax:586-778-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4290428Medicaid
MI4290428Medicaid